Chapter 30 Test Application

Is the institution accredited through an accrediting body approved by the US Department of Education? *

Yes

No

Name of accrediting association

Institution is in candidate status with the following approved accrediting association

Non-Accredited Institutions must be in the process of accreditation by an agency recognized by the US Department of Education. If the institution is currently in the process of accreditation, please contact Elaine Marces at 307-777-6210 for an application.

Registration Period (July 1 through June 30 annually) *Registration Period (July 1 through June 30 annually)

Contact Name *

Phone Number *

Email Address *

Website/URL *

Physical Address *

Physical Address

Physical Address

Physical Address

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Country

Country

Mailing Address (if different)

Mailing Address (if different)

Mailing Address (if different)

Mailing Address (if different)

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Country

Country

This application is: *

Initial Application

Renewal Application

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